| NPI | 1659885184 |
|---|---|
| Doing Business As | KING REY |
| Entity Type | Organization |
| Authorized Contact | RENATO OLEDAN RABARA Owner 702-677-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |